Active NPI
Elizabeth G. Acquaye, D.D.S.
- Dentist
- Garland, TX
National Provider Identifier
1962530824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21763
- Practice address
- 1415 W Buckingham Rd
Garland, TX 75042-4202 - Phone
- (972) 496-4300
- Fax
- (972) 496-4388
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21763 | TX | Primary |
Addresses
Primary practice location
1415 W Buckingham Rd
Garland, TX 75042-4202
Mailing address
1415 W Buckingham Rd
Garland, TX 75042-4202
Phone (972) 496-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164599605 | Medicaid | TX | |
| B217631 | Other | TX | CHIP ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21763 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth G Acquyae PA | Past | Accepting new patients | |
| Elizabeth Acquaye PA | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Garland, TX
- NPI 1568747699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962530824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 W BUCKINGHAM RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750424202",
"telephone_number": "972-496-4300",
"fax_number": "972-496-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W BUCKINGHAM RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750424202",
"telephone_number": "972-496-4300",
"fax_number": "972-496-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACQUAYE",
"first_name": "ELIZABETH",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164599605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP ID NUMBER",
"identifier": "B217631",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.